Active NPI
Amedisys New Jersey, L.L.C.
Doing business as Amedisys Home Health
- Home Health Agency
- Secaucus, NJ
National Provider Identifier
1962791756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 70202
- Legal business name
- AMEDISYS NEW JERSEY, L.L.C.
- Doing business as
- Amedisys Home Health
- Practice address
- 1 Harmon PLZ
Suite 804
Secaucus, NJ 07094-2803 - Phone
- (201) 902-1490
- Fax
- (201) 902-1495
- NPI assigned
- Apr 1, 2011
- Last updated
- Sep 20, 2016
- Organization subpart
- Yes
- Parent organization
- AMEDISYS NEW JERSEY, L.L.C.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paul B Kusserow
- Title
- President
- Phone
- (225) 292-2031
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 70202 | NJ | Primary |
Addresses
Primary practice location
1 Harmon PLZ
Suite 804
Secaucus, NJ 07094-2803
Mailing address
3854 American Way
Suite a
Baton Rouge, LA 70816-4013
Phone (225) 292-2031
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0261653 | Medicaid | NJ |
Other names 1
- Amedisys Home Health
National Provider Directory
National Provider Directory- Tax ID family
- Amedisys New Jersey LLC
- Part of
- Amedisys New Jersey LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Locations
1 Harmon Plz
Ste 804
Secaucus, NJ 07094
Phone (201) 902-1490
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301616000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1474329600000",
"number": "1962791756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3854 AMERICAN WAY",
"address_2": "SUITE A",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708164013",
"telephone_number": "225-292-2031",
"fax_number": "225-295-9678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 HARMON PLZ",
"address_2": "SUITE 804",
"city": "SECAUCUS",
"state": "NJ",
"postal_code": "070942803",
"telephone_number": "201-902-1490",
"fax_number": "201-902-1495"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMEDISYS NEW JERSEY, L.L.C.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "AMEDISYS NEW JERSEY, L.L.C.",
"enumeration_date": "2011-04-01",
"last_updated": "2016-09-20",
"status": "A",
"authorized_official_last_name": "KUSSEROW",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "225-292-2031"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NJ",
"license": "70202",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0261653",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Amedisys Home Health",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Secaucus, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.